| Malformations in adult cases in Egypt. | |
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MedLine Citation:
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PMID: 12652439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The pathologic patterns as an indication for cardiac surgery in adults with congenital heart diseases and subsequently the surgical techniques have changed greatly in the last decade. The presence of fully equipped pediatric cardiac units helped in early surgical repair in many lesions. However, this service is not always readily available in many parts of the world with the effect of seeing patients with congenital heart diseases latter on during their life needing intervention. Also, older surgical concepts (like considering a trileaflet mitral valve as normal) resulted in the presentation of a subgroup of patients who needed re-intervention latter during adulthood. Surgeons are also faced with the residual effects of putting in different kinds of prosthetic valves or homografts that degenerates or the child overgrows and need to be dealt with latter during the child life. Although the interventional transcatheter techniques helped in the closure of small atrial septal defects, patent ducti, pulmonary arteriovenous fistulas, and dilatation of coarctations, it helped in the emergence of a new pathologic entities like failed or complicated transcatheter closure or dilatations. As a result of competition with the cardiologists, minimal access cardiac surgery emerged. Upper and lower partial ministernotomies and right thoracotomy and fast-track congenital heart operation in some lesions had effectively decreased pain and discomfort, shortened the recovery period, and improved the cosmetic result. |
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Authors:
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Ismail A Sallam |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in thoracic and cardiovascular surgery Volume: 14 ISSN: 1043-0679 ISO Abbreviation: Semin. Thorac. Cardiovasc. Surg. Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2003-03-24 Completed Date: 2003-05-23 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8917640 Medline TA: Semin Thorac Cardiovasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 358-63 Citation Subset: IM |
Copyright Information:
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Copyright 2002, Elsevier Science (USA). All rights reserved. |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Ain-Shams University Hospital, Cairo, Egypt. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Cardiac Surgical Procedures / standards*, trends Developing Countries Egypt Female Heart Defects, Congenital / diagnosis*, mortality, surgery* Humans Infant, Newborn Male Risk Assessment Risk Factors Socioeconomic Factors Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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